Probation IA Referral
Complaint Information
*
Denotes required field.
Phone number must be in this format: 123-456-7890
If you are Law Enforcement, please select Law Enforcement from the dropdown list under Preferred Contact.
Contact Method
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Preferred Contact:
OK to Contact Me
Law Enforcement
Keep Me Anonymous
Person Reporting Incident
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First Name:
*
Last Name:
Phone #:
Email Address:
*
Relation to Probation Department:
LA County Employee
Adult Client
Juvenile Client
Other
Employee ID:
Incident Information
Have you informed the department about this previously?
Yes
No
*
Date of Incident:
*
Date Department Notified:
Location of Incident
*
Location of Incident:
Probation Facility/Location
Social Media
Other Location
*
Location Description (Address/Business/Cross Street):
*
Incident Description:
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